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Published on: September 19, 2016
Ginsenosides in vascular remodeling: Cellular and molecular mechanisms of their therapeutic action
Guang-Xuan Zhu1, Jian-Li Zuo2, Lin Xu3
1Department of Pharmacology, Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, Hunan 410078, China.
Abstract:
Evidence is mounting that abnormal vascular remodeling (VR) is a vital pathological event that precedes many cardiovascular diseases (CVD). This provides us with a new research perspective that VR can be a pivotal target for CVD treatment and prevention. However, the current drugs for treating CVD do not fundamentally reverse VR and repair vascular function. The reason may be that a complicated regulatory network is formed between the various signaling pathways involved in VR. Recently, ginsenoside, the main active substance of ginseng, has become increasingly the focus of many researchers for its multiple targets, multiple pathways, and few side effects. Several data have revealed that ginsenosides can improve VR caused by vasodilation dysfunction, abnormal vascular structure and blood pressure. This review is intended to discuss the therapeutic effects and mechanisms of ginsenosides in some diseases involved in VR. Besides, we herein also give a new and contradictory insight into intracellular and molecular signaling of ginsenosides in all kinds of vascular cells. Most importantly, we also discuss the feasibility of ginsenosides Rb1/Rg1/Rg3 in drug development by combining the pharmacodynamics and pharmacokinetics of ginsenosides, and provide a pharmacological basis for the development of ginsenosides in clinical applications.
Insights
Ginsenosides, derived from ginseng, show promise in treating cardiovascular diseases by reversing abnormal vascular remodeling. This review explores their therapeutic effects and potential for clinical drug development.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Molecular Biology
Background:
- Abnormal vascular remodeling (VR) is a critical precursor to cardiovascular diseases (CVD).
- Current CVD treatments fail to fundamentally reverse VR or restore vascular function.
- Complex signaling networks underlie VR, necessitating novel therapeutic targets.
Purpose of the Study:
- To review the therapeutic effects and mechanisms of ginsenosides in VR-related diseases.
- To provide insights into the intracellular and molecular signaling of ginsenosides in vascular cells.
- To assess the drug development potential of specific ginsenosides (Rb1, Rg1, Rg3).
Main Methods:
- Literature review of studies on ginsenosides and vascular remodeling.
- Analysis of data on ginsenosides' effects on vasodilation, vascular structure, and blood pressure.
- Pharmacodynamic and pharmacokinetic evaluation of ginsenosides for drug development.
Main Results:
- Ginsenosides demonstrate potential to improve VR associated with vasodilation dysfunction, abnormal vascular structure, and hypertension.
- Evidence suggests ginsenosides act on multiple targets and pathways with minimal side effects.
- Specific ginsenosides (Rb1, Rg1, Rg3) show promise for clinical application.
Conclusions:
- Ginsenosides represent a promising therapeutic strategy for targeting vascular remodeling in CVD.
- Further research into ginsenoside signaling pathways can elucidate their mechanisms of action.
- Pharmacological data support the development of ginsenosides as novel CVD therapeutics.
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